Spending on Vascular Care Has Little Effect on Amputations
"We know that if you [have circulation health issues and] get no vascular care, that's not good. But we wanted to look at those who did, and ask whether, if you got five angioplasties and a leg bypass, did that translate to a better outcome than if you had just a simple operation and an angioplasty."
"If you think about it, if you're in a region that consistently spends more money, and you're likely using more expensive technology, you would think that if that technology worked better, then the amputation risks would be lower; you'd think you're doing something better.
"What we found is that the more aggressive they were, the more procedures were done and the higher the cost… that didn't translate into lower rates of amputation."
Other variations included the difference on regional spending for revascularization or debridement, exclusive of the amputation in the year before these patients underwent amputation.
Regions with the lowest mean spending:
- Muncie IN – $1,277
- Duluth, MN – $3.342
- Topeka, KS – $4199
Regions with the highest mean spending:
- St. Paul, MN – $14,063
- Toledo, OH – $14,107
- Harlingen, TX – $14,120
- CEO Exchange: Preparing for Population Health
- EHR Systems 'Immature, Costly,' AMA Says
- Better HCAHPS Scores Protect Revenue
- Advocate, NorthShore Deal Would Create 16-Hospital System
- Narrow Networks Cut Costs, Not Quality, Economists Say
- 3 Strategies for Retaining Millennial Employees
- Interstate Medical Licensure Effort Advances
- 'Early Offer' Malpractice Programs May Spur Reform
- Two NY hospitals to offer free hip and knee replacement surgeries for qualifying patients in December
- Power of price: In South FL and the nation, healthcare costs often are shrouded in secrecy